目的 分析首都医科大学五年制临床医学专业学生社区卫生实践考核成绩,为提高医学生社区卫生实践质量提供参考。方法 采用资料分析方法,对2014学年～2018学年在北京市月坛社区卫生服务中心实习的首都医科大学2009级～2013级五年制临床医学专业171名学生的全科医学概论课程理论考核成绩、健康教育讲评考核成绩、以健康问题为导向的病历记录书写考核成绩进行分析。 结果 171名学生全科医学概论课程理论考核平均成绩为(71.04±8.29)分,通过率为100.0%,成绩基本符合正态分布;考核内容包括慢性非传染性疾病、全科医学概论和预防保健3个方面,试卷难度0.64～0.81、信度0.56～0.70、区分度0.14～0.22。健康教育讲评考核平均成绩为(85.10±15.83)分。以健康问题为导向的病历记录书写平均成绩为(93.59±5.05)分。全科医学概论课程理论考核成绩、健康教育讲评考核成绩、以健康问题为导向的病历记录书写考核成绩的优良率依次为31.6%(54/171)、95.4%(163/171)、100.0%(171/171)。其中,2010级学生的全科医学概论课程理论考核优良率最高(81.8%),2013级学生次之(43.2%),其差异具有统计学意义(χ²=5.944,P<0.05)。结论 五年制临床医学专业学生社区卫生实践考核通过率和优良率较高。应当通过加强题库建设、关注概念教学、改革考核方式等措施,进一步提高社区卫生实践质量。

Objective Analyze the examination achievement of community health practice of five-year program students major in clinical medicine in Capital Medical University, and provide reference for accumulating experience in improving the quality of undergraduate community health practice. Methods Analyses the scores of general medical theory test, health education test and problem-oriented medical record writing of 171 five-year program students major in clinical medicine from the Capital Medical University who practiced at Yuetan Community Health Service Center from 2014 to 2018. Results The pass rate of the general medical theory was 100.0%, and the scores were basically in accordance with the normal distribution. The average score was (71.04±8.29). The examination content includes chronic non-communicable diseases, knowledge about general medical and preventive health care. The difficulty of the test paper was 0.64~0.81, the reliability was 0.56~0.70, and the discrimination degree was 0.14~0.22. The average score of health education test was (85.10±15.83) and the average score of problem-oriented medical record writing was (93.59±5.05).The excellent rate of the general medical theory, health education test and problem-oriented medical record was 31.6% (54/171)、95.4% (163/171)、100.0% (171/171). For the results of the general medicine theory examination, the excellent rate of the students practiced in 2015 was the highest (81.8%), next was the students practiced in 2018 (43.2%), the different between the two was statistically significant (χ²=5.944, P<0.05). Conclusions The pass rate and excellent and good rate of community health practice for five-year program students major in clinical medicine were higher. It is necessary to improve the quality of community health practice by strengthening the construction of test questions, paying attention to concept teaching and reforming assessment methods to further improve the quality of community health practice.